Forms and Paperwork
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Contact me:
Julie Wells LCSW, CP, TEP
26133 US HWY 19 N #310
Clearwater, FL 33763
Phone: (727) 688-5800
Fax: (727) 286-9640
[email protected]

For counseling services 

If you're a new client, and already have an appointment scheduled, please complete the following forms and bring them to your first therapy session along with your insurance card, if applicable, and a drivers license, or other form of identification.
Print, Read, and Complete all of these forms prior to your first therapy session. 
Thank you in advance!

Other Important Forms:
To coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize contact.
Journey Into Wellness Counseling
             Julie Wells LCSW, CP, TEP
                                             offering telehealth and in-person sessions 
Mailing Address: 
PO Box 464
Crystal Beach, FL 34681